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Family Practice of Grand Island, PC 12×12/05 2116 W Failed Ave, Ste 400 Grand Island, NE 68803 Phone 308-381-0162 Fax 308-389-4445 AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION (PHI) (Please
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3083810162 is a form used for reporting certain transactions to the IRS.
Any taxpayer who engages in the specific transactions that need to be reported on 3083810162 is required to file the form.
3083810162 must be filled out completely and accurately, ensuring that all required information is provided.
The purpose of 3083810162 is to report certain transactions to the IRS for tax compliance purposes.
3083810162 requires the reporting of specific transaction details, such as amounts, dates, and parties involved.
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